BMD_A-E_Synopsis_Attachment_4.pdf

W912DY-16-R-0041 A/E Synopsis BMD

ATTACHMENT 4

SMALL BUSINESS PARTICIPATION PLAN

1. All Offerors, both small and large businesses, are required to submit Small Business Participating Plan information in accordance with DFARS 215.304 that shall include the following:

2. Total Contract Value (including options): $__________________

3. Dollar Value of your participation as a prime contractor: $_____________

4. Dollar Value and Percentage of Total Contract Value of Subcontracts Planned For:

Dollar Value Percentage of Total Contract Value

Large $__________ $_____________ Total Small $__________ $_____________ Small Non-Disadvantaged $__________ $_____________ Small Disadvantaged $__________ $_____________ Small Women Owned $__________ $_____________ Small HubZone $__________ $_____________ Small Veteran Owned $__________ $_____________ Small Service Disabled $__________ $_____________ Veteran Owned $__________ $_____________

NOTE: The sum of the dollar values and percentages of Small Non-Disadvantaged and Small Disadvantaged should equal the entries for the Total Small; however, the sum of all the percentages under Paragraph (4) need not equal 100% since the prime is not included and individual subcontractors or consultants may be counted towards more than one category. All percentages should use the TOTAL CONTRACT VALUE as a baseline.

a. List principle supplies/services (be specific) to be subcontracted to:

Name of Company Type of Service/Supply

Large _______________ ____________________ Total Small _______________ ____________________ Small Non-Disadvantaged _______________ ____________________ Small Disadvantaged _______________ ____________________ Small Woman Owned _______________ ____________________ Small HubZone _______________ ____________________ Small Veteran Owned _______________ ____________________ Small Service Disable Veteran Owned _______________ ____________________

NOTE: For purposes of subcontracting, Historically Black Colleges and Universities/Minority Institutions (HBCUs/MIs) are considered as disadvantaged and should be broken out separately.